NPI | 1720085517 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MS 22089) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: LA 024773) |
Enumeration Date | 2005-07-07 |
Last Update Date | 2022-07-21 |